Complete List of FLR G-Codes and Severity Modifiers

You’ve got a handle on functional limitation reporting (FLR). You understand the how, the who, the why, and the when. All you need now are the actual G-codes and severity modifiers that you will use to complete the required reporting. To help you out, we compiled a comprehensive list of codes organized by category. Six of the categories apply to physical and occupational therapy, while the other eight apply to speech-language pathology.

Remember, G-codes and accompanying modifiers must appear on claims in pairs. To receive reimbursement for their services, therapists must report these codes at the initial examination, at minimum every tenth visit (or progress note), and at discharge.

Listed below are the 42 new G-codes you’ll use to denote primary functional limitations, followed by a table containing the seven FLR severity modifier codes.

Physical Therapy and Occupational Therapy G-Codes

Mobility: Walking & Moving Around

G Code Description Short Descriptor
G8978 Mobility walking and moving around functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Mobility current status
G8979 Mobility walking and moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting Short descriptor: Mobility goal status
G8980 Mobility walking and moving around functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Mobility discharge status

Changing & Maintaining Body Position

G Code Description Short Descriptor
G8981 Changing and maintaining body position functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Body pos current status
G8982 Changing and maintaining body position functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting Short descriptor: Body pos goal status
G8983 Changing and maintaining body position functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Body pos discharge status

Carrying, Moving & Handling Objects

G Code Description Short Descriptor
G8984 Carrying, moving, and handling objects functional limitation, current status, at therapy episode, and at reporting intervals Short descriptor: Carry current status
G8985 Carrying, moving, and handling objects functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting Short descriptor: Carry goal status
G8986 Carrying, moving, and handling objects functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Carry discharge status

Self Care

G Code Description Short Descriptor
G8987 Self care functional limitation, current status, at therapy episode outset, and at reporting intervals. Short descriptor: Self care current status
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting Short descriptor: Self care goal status
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Self care discharge status

Other PT/OT Primary Functional Limitation

G Code Description Short Descriptor
G8990 Other physical or occupational primary functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Other PT/OT current status
G8991 Other physical or occupational primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting Short descriptor: Other PT/OT goal status
G8992 Other physical or occupational primary functional limitation, discharge status, at discharge from therapy to end reporting Short descriptor: Other PT/OT discharge status

Other PT/OT Subsequent Functional Limitation

G Code Description Short Descriptor
G8993 Other physical or occupation subsequent functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Sub PT/OT current status
G8994 Other physical or occupational subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting Short descriptor: Sub PT/OT goal status
G8995 Other physical or occupational subsequent functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Sub PT/OT discharge status

Speech-Language Pathology G-Codes

Swallowing

G Code Description Short Descriptor
G8996 Swallowing functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Swallow current status
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting Short descriptor: Swallow goal status
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Swallow discharge status

Motor Speech

G Code Description Short Descriptor
G8999 Motor speech functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Motor speech current status
G9186 Motor speech functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting Short descriptor: Motor speech goal status
G9158 Motor speech functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Motor speech discharge status

Spoken Language Comprehension

G Code Description Short Descriptor
G9159 Spoken language comprehension functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Spoken language comprehension current status
G9160 Spoken language comprehension functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting Short descriptor: Spoken language comprehension goal status
G9161 Spoken language comprehension functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Spoken language comprehension discharge status

Spoken Language Expression

G Code Description Short Descriptor
G9162 Spoken language expression functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Spoken language expression current status
G9163 Spoken language expression functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting Short descriptor: Spoken language expression goal status
G9164 Spoken language expression functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Spoken language expression discharge status

Attention

G Code Description Short Descriptor
G9165 Attention functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Attention current status
G9166 Attention functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting Short descriptor: Attention goal status
G9167 Attention functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Attention discharge status

Memory

G Code Description Short Descriptor
G9168 Memory functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Memory current status
G9169 Memory functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting Short descriptor: Memory goal status
G9170 Memory functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Memory discharge status

Voice

G Code Description Short Descriptor
G9171 Voice functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Voice current status
G9172 Voice functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting Short descriptor: Voice goal status
G9173 Voice functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Voice discharge status

Other Speech Language Pathology

G Code Description Short Descriptor
G9174 Other speech language pathology functional limitation, current status, at therapy episode outset, and at reporting intervals Short descriptor: Other speech language pathology current status
G9175 Other speech language pathology functional limitation, projected goal status, at therapy episode outset, at reporting intervals, at discharge or to end reporting Short descriptor: Other speech language pathology goal status
G9176 Other speech language pathology functional limitation, discharge status, at discharge from therapy or to end reporting Short descriptor: Other speech language pathology discharge status

Functional Limitation Severity Modifier Codes

Modifier Impairment Limitation Restriction
CH 0% impaired, limited, or restricted
CI At least 1% but less than 20% impaired, limited, or restricted
CJ At least 20% but less than 40% impaired, limited, or restricted
CK At least 40% but less than 60% impaired, limited, or restricted
CL At least 60% but less than 80% impaired, limited, or restricted
CM At least 80% but less than 100% impaired, limited, or restricted
CN 100% impaired, limited, or restricted

Want an FLR easy button? If you’re a WebPT Member, you’ve got one. On May 17, WebPT is rolling out a fully integrated functional limitation reporting solution. Register here for our WebPT + FLR webinar on May 20 to see how easy it is to complete FLR within your WebPT documentation. Not yet a Member? Schedule your no-hassle demo today to learn more.